Credit Card Application Form

*If you were referred by a friend as part of the BetterBanking Ambassador program, you cannot avail of the 0% Balance Transfer promo.

I would like a classic/gold credit card if I do not qualify for my card of choice

Billing Type

Single Currency (Peso)

Dual Currency (Dollar/Peso)

I would like my card delivered to

Home Address

Office Address

I would like my statment of account delivered to

Home Address

Office Address

Personal Information

Name to Appear on Card

Max 21 Characters, letters only

Last Name

First Name

Middle Name

Date of Birth

mm/dd/yyyy

Mother's Maiden Name

Place of Birth

Gender

Civil Status

Citizenship

We currently are not able to issue regular credit cards for non-Filipino applicants. However, we are able to issue secured credit cards with a holdout deposit. Please visit a Security Bank branch near you to place a holdout deposit. Click here to visit a branch near you.

We currently are not able to issue regular credit cards for unemployed and retired applicants. However, we are able to issue secured credit cards with a holdout deposit. Please visit a Security Bank branch near you to place a holdout deposit. Click here to visit a branch near you.

Company Name

Position

Rank

Gross Annual Income

in PHP

Nature of Business

Nature of Business

Work Tenure (current position)

Years

Months

Office Landline

Area Code + 7-digit number

Address 1

Company / Rm / Flr / No / Street

Address 2

Bldg / Subd / Vil / Brgy

City

Province

Zip Code

HR Email Address

Please provide your HR department's email address for faster processing of your application. This will be used to contact your company to verify employment if we are not able to reach them via phone. If no email address is provided, there may be a delay in processing your application.

By ticking the below box and clicking submit, I
confirm that the information given by me is true and correct. I authorize you
to verify and investigate it from whatever sources you may consider
appropriate. This authorization also allows said sources to furnish you
information concerning my deposit accounts, placements or credit dealings and
any other information that may be requested.
I understand that falsifying any information on the enclosed documents and
application is sufficient ground for legal action and for the rejection of my
application. I understand that should my application be declined, Security Bank
Corporation has no obligation to furnish the reason for such rejection. By
signing at the back of the Card when delivered to me, I signify my agreement to
the Security Bank Corporation’s Terms and Conditions. Furthermore, I
acknowledge that in case of issuance of a Supplementary Card, I and my
supplementary/ies and/or surety/ies shall be jointly and severally liable for
all information about the supplementary card holder as well as all purchases,
and cash advances made, including all interest and charges incurred through the
use of the Supplementary Card/s and that in the event of delinquency, I hereby
authorize Security Bank Corporation to report and include my/our names in
negative listing of any credit card bureau or institution. I waive any defense
of minority, illiteracy or non-filiation on any Supplementary Cardholder/s. Such
responsibility shall only cease upon the Cardholder’s written request that the
SUPPLEMENTARY CARD privileges be terminated.
Further, hereby willingly, voluntarily, and with full knowledge of my right
under the law, waive the right to confidentiality of information and authorize Security
Bank Corporation to disclose, divulge and reveal any such information relating
to my account, including events of default, for the purpose of, among others,
client evaluation or verification or granting of a consumer loan or an
additional Security Bank product/s under the Terms and Conditions of the Security
Bank Corporation’s affiliates, subsidiaries, agents or service providers
concerned. I hold Security Bank Corporation free and harmless from any and all
liabilities, claims and demands of whatever kind or nature in connection with
or arising from this disclosure or reporting.

I have read and agree to the above Affirmation and Authorization

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